| NPI | 1235584251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS DAVID RIPLEY Owner 732-818-0789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NJ 38MC00724500) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |